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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. BROCK ALLEN FORD, PT,DPT

Active

DR. BROCK ALLEN FORD, PT,DPT is a Physical Therapy Assistant healthcare provider located in GREENTOWN, Indiana. NPI 1265190821 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · GREENTOWN, IN

Registration Details

NPI Number
1265190821
Provider Type
Individual
Gender
Male
NPI Issued
Dec 1, 2021 (4.6913850080827 yrs)
Last Updated
Dec 1, 2021
License
05013068A (IN)

Practice Information

Address
705 N MERIDIAN ST
GREENTOWN, IN, 469361246
Browse IN providers · Browse ZIP 46936
Phone
7656283377
Primary Specialty
Physical Therapy Assistant
225100000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.